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Effects of different photobiomodulation therapy doses on cell viability after bacterial and ionizing radiation–induced stress: a pilot in vitro study

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Abstract

Purpose

Photobiomodulation therapy has proven to be effective in accelerating cell proliferation, migration, and transcription. The study aimed to analyze the cell viability effects of different parameters of PBMT in a cultured cell line of human gingival fibroblasts after bacterial and ionizing radiation–induced stress.

Methods

Explant technique was used to produce a primary cell culture. Cells were grown in Dulbecco’s modified Eagle’s medium with 10% fetal bovine serum until stressful condition induction with lipopolysaccharide of Escherichia coli, Porphyromonas gingivalis protein extract, and ionizing radiation. Laser irradiation was carried out in four sessions set with 660 nm wavelength, an output power of 30 mW and 40 mW and energy density of 2, 3, 4, and 5 J/cm2.

Results

After 24 h from the last laser irradiation session, the groups outputted in 30 mW of power maintained the cell viability while operating with 2, 4, and 5 J/cm2. However, 3 J/cm2 dose significantly decreased cell viability (p < 0.05). When the laser irradiation session was set in a higher power (40 mW), cell viability was reduced using 2, 3, and 5 J/cm2 doses, with statistical significance for 5 J/cm2 (p < 0.001). In addition, operating the same energy using lower power seems to be superior to a higher power, being statically significant for 5 J/cm2 dose (p < 0.001). This pattern followed with all different groups, except by 3 J/cm2.

Conclusions

The present study showed that delivering 2, 4, and 5 J/ cm2 of density of energy with 30 mW and more time of exposure presented better results on cell viability compared to the same density of energy with output power of 40 mW. Further studies comparing density energy should be conducted.

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References

  1. Sonis ST, Hashemi S, Epstein JB, Nair RG, Raber-Durlacher JE (2016) Could the biological robustness of low-level laser therapy (photobiomodulation) impact its use in the management of mucositis in head and neck cancer patients. Oral Oncol 54:7–14. https://doi.org/10.1016/j.oraloncology.2016.01.005

    Article  PubMed  Google Scholar 

  2. Pellicioli AC, Martins MD, Dillenburg CS, Marques MM, Squarize CH, Castilho RM (2014) Laser phototherapy accelerates oral keratinocyte migration through the modulation of the mammalian target of rapamycin signaling pathway. J Biomed Opt 19(2):028002. https://doi.org/10.1117/1.JBO.19.2.028002

    Article  PubMed  Google Scholar 

  3. Soares DM, Ginani F, Henriques ÁG, Barboza CA (2015) Effects of laser therapy on the proliferation of human periodontal ligament stem cells. Lasers Med Sci 30(3):1171–1174. https://doi.org/10.1007/s10103-013-1436-9

    Article  PubMed  Google Scholar 

  4. Lalla RV, Bowen J, Barasch A, Elting L, Epstein J, Keefe DM et al (2014) MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy. Cancer 120:1453–1461

    Article  Google Scholar 

  5. Zadik Y, Arany PR, Fregnani ER, Bossi P, Antunes HS, Bensadoun RJ, Gueiros LA, Majorana A, Nair RG, Ranna V, Tissing WJE, Vaddi A, Lubart R, Migliorati CA, Lalla RV, Cheng KKF, Elad S (2019) Mucositis Study Group of the Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISOO). Systematic review of photobiomodulation for the management of oral mucositis in cancer patients and clinical practice guidelines. Support Care Cancer 27(10):3969–3983. https://doi.org/10.1007/s00520-019-04890-2

    Article  PubMed  Google Scholar 

  6. Marques MM, Diniz IM, de Cara SP, Pedroni AC, Abe GL, D’Almeida-Couto RS, Lima PL, Tedesco TK, Moreira MS (2016) Photobiomodulation of dental derived mesenchymal stem cells: a systematic review. Photomed Laser Surg 34(11):500–508. https://doi.org/10.1089/pho.2015.4038

    Article  PubMed  Google Scholar 

  7. Cronshaw M, Parker S, Anagnostaki E, Mylona V, Lynch E, Grootveld M (2020) Photobiomodulation and oral mucositis: a systematic review. Dent J (Basel) 8(3):87. https://doi.org/10.3390/dj8030087

    Article  Google Scholar 

  8. Ferreira LS, Diniz IMA, Maranduba CMS, Miyagi SPH, Rodrigues MFSD, Moura-Netto C, Marques MM (2019) Short-term evaluation of photobiomodulation therapy on the proliferation and undifferentiated status of dental pulp stem cells. Lasers Med Sci 34(4):659–666. https://doi.org/10.1007/s10103-018-2637-z

    Article  PubMed  Google Scholar 

  9. van Breugel HHFI, Dop Bärr PR (1992) Power density and exposure time of He–Ne laser irradiation are more important than total energy dose in photo-biomodulation of human fibroblasts in vitro. Lasers Surg Med 12:528–537

    Article  Google Scholar 

  10. AlGhamdi KM, Kumar A, Moussa NA (2021) Low-level laser therapy: a useful technique for enhancing the proliferation of various cultured cells. Lasers Med Sci 1:237–249. https://doi.org/10.1007/s10103-011-0885-2

    Article  Google Scholar 

  11. Eduardo FP, Mehnert DU, Monezi TA, Zezell DM, Schubert MM, Eduardo CP, Marques MM (2007) Cultured epithelial cells response to phototherapy with low intensity laser. Lasers Surg Med 39:365–372

    Article  Google Scholar 

  12. Almeida-Lopes L, Rigau J, Zangaro RA, Guidugli-Neto J, Jaeger MM (2001) Comparison of the low level laser therapy effects on cultured human gingival fibroblasts proliferation using different irradiance and same fluence. Lasers Surg Med 29:179–184

    Article  Google Scholar 

  13. Fujihara NA, Hiraki KR, Marques MM (2006) Irradiation at 780 nm increases proliferation rate of osteoblasts independently of dexamethasone presence. Lasers Surg Med 38:332–336

    Article  Google Scholar 

  14. Marques MM, Pereira AN, Fujihara NA, Nogueira FN, Eduardo CP (2004) Effect of low-power laser irradiation on protein synthesis and ultrastructure of human gingival fibroblasts. Lasers Surg Med 34:260–265

    Article  Google Scholar 

  15. Anders JJ, Lanzafame RJ, Arany PR (2015) Low-level light/laser therapy versus photobiomodulation therapy. Photomed Laser Surg 33:183–184

    Article  Google Scholar 

  16. Albiero ML, Stipp RN, Saito MT, Casati MZ, Sallum EA, Nociti FH, Silvério KG (2017) Viability and osteogenic differentiation of human periodontal ligament progenitor cells are maintained after incubation with Porphyromonas gingivalis protein extract. J Periodontol 88(11):e188–e199. https://doi.org/10.1902/jop.2017.170116

    Article  PubMed  Google Scholar 

  17. Meneguzzo DT, Eduardo CP, Ribeiro MS, Marques MM (2008) Influence of the fractioned irradiation energy in the phototherapy with low intensity laser on the growth of human dental pulp fibroblasts. Mechanisms for Low-Light Therapy III 6846(68460A):1–9. https://doi.org/10.1117/12.761220

  18. Moreira MS, Sarra G, Carvalho GL, Gonçalves F, Caballero-Flores HV, Pedroni ACF, Lascala CA, Catalani LH (2021) Marques MM (2021) Physical and biological properties of a chitosan hydrogel scaffold associated to photobiomodulation therapy for dental pulp regeneration: an in vitro and in vivo study. Biomed Res Int 25(2021):6684667. https://doi.org/10.1155/2021/6684667

    Article  Google Scholar 

  19. Stein E, Koehn J, Sutter W, Wendtlandt G, Wanschitz F, Thurnher D, Baghestanian M, Turhani D (2008) Initial effects of low-level laser therapy on growth and differentiation of human osteoblast-like cells. Wien Klin Wochenschr 120(3–4):112–117

    Article  Google Scholar 

  20. Tuby H, Maltz L, Oron U (2007) Low-level laser irradiation pro- motes proliferation of mesenchymal and cardiac stem cells in culture. Lasers Surg Med 39:373–378

    Article  Google Scholar 

  21. Zaccara IM, Ginani F, Mota-Filho HG, Henriques ÁC, Barboza CA (2015) Effect of low-level laser irradiation on proliferation and viability of human dental pulp stem cells. Lasers Med Sci 30(9):2259–2264. https://doi.org/10.1007/s10103-015-1803-9

    Article  PubMed  Google Scholar 

  22. Azevedo LH, de Paula EF, Moreira MS, de Paula EC, Marques MM (2006) Influence of different power densities of LILT on cultured human fibroblast growth: a pilot study. Lasers Med Sci 21(2):86–89. https://doi.org/10.1007/s10103-006-0379-9

    Article  PubMed  Google Scholar 

  23. Barboza CAG, Ginani F, Moura SD et al (2014) Low-level laser irradiation induces in vitro proliferation of mesenchymal stem cells. Einstein 12(1):75–81

    Article  Google Scholar 

  24. Eduardo Fde P, Bueno DF, de Freitas PM, Marques MM, Passos-Bueno MR, Eduardo Cde P, Zatz M (2008) Stem cell proliferation under low intensity laser irradiation: a preliminary study. Lasers Surg Med 40(6):433–438. https://doi.org/10.1002/lsm.20646

    Article  PubMed  Google Scholar 

  25. Moore P, Ridgway TD, Higbee RG, Howard EW, Lucroy MD (2005) Effect of wavelength on low-intensity laser irradiation-stimulated cell proliferation in vitro. Lasers Surg Med 36:8–12

    Article  Google Scholar 

  26. Pereira AN, Eduardo CP, Matson E, Marques MM (2002) Effect of low-power laser irradiation on cell growth and procollagen synthesis of cultured fibroblasts. Lasers Surg Med 31:263–267

    Article  Google Scholar 

  27. Staffoli S, Romeo U, Amorim RNS, Migliau G, Palaia G, Resende L, Polimeni A (2017) The effects of low level laser irradiation on proliferation of human dental pulp: a narrative review. Clin Ter 168(5):e320–e326. https://doi.org/10.7417/T.2017.2028

    Article  PubMed  Google Scholar 

  28. Hawkins DH, Abrahamse H (2007) Time-dependent responses of wounded human skin fibroblasts following phototherapy. J Photochem Photobiol B 88:147–155

    Article  Google Scholar 

  29. Matic M, Lazetic B, Poljacki M et al (2003) Low level laser irradiation and its effect on repair processes in the skin. Med Pregl 56:137–141

    Article  Google Scholar 

  30. Hawkins D, Abrahamse H (2006) Effect of multiple exposures of low-level laser therapy on the cellular responses of wounded human skin fibroblasts. Photomed Laser Surg 24:705–714

    Article  Google Scholar 

  31. Friedmann H, Lubart R, Laulicht I et al (1991) A possible ex- planation of laser-induced stimulation and damage of cell cultures. J Photochem Photobiol 11:87–91

    Article  Google Scholar 

  32. Schindl A, Schindl M, Pernerstorfer-Schon H et al (2000) Low-intensity laser therapy: a review. J Invest Med 48:312–326

    Google Scholar 

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Funding

This study received financial support from DGP – UnB (Graduate Dean of the University of Brasilia) no. 0004/2021 in the name of J. Amorim dos Santos. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication: M.M. Monteiro and J. Amorim dos Santos are supported by CAPES (Coordination for the Improvement of Higher Education Personnel), Brazil. V. Paiva Barbosa and E.N.S. Guerra are supported by the CNPq (National Council for Scientific and Technological Development), Ministry of Education, Brazil.

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Authors

Contributions

All the authors contributed to the study’s conception and design. Material preparation, data collection, and analysis were performed by Mylene Martins Monteiro, Juliana Amorim dos Santos, and Victor Paiva Barbosa. The first draft of the manuscript was written by Mylene Martins Monteiro and Juliana Amorim dos Santos, and all the authors commented on previous versions of the manuscript. All the authors read and approved the final manuscript.

Corresponding author

Correspondence to Juliana Amorim dos Santos.

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Ethics approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Human Research Ethics Committee of the Health Sciences College of the University of Brasilia (CAAE No. 78679717.6.0000.0030).

Consent to participate

Informed consent was obtained from all individual participants that donated gingival fragments in the study.

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The authors declare no conflict of interest.

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Monteiro, M.M., Amorim dos Santos, J., Paiva Barbosa, V. et al. Effects of different photobiomodulation therapy doses on cell viability after bacterial and ionizing radiation–induced stress: a pilot in vitro study. Laser Dent Sci 6, 205–210 (2022). https://doi.org/10.1007/s41547-022-00162-1

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  • DOI: https://doi.org/10.1007/s41547-022-00162-1

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